Individual provider Active NPI

Steven N Mashburn, NP

  • Family Nurse Practitioner
  • Lawrenceburg, TN
National Provider Identifier
1942373717
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000007648 Issued in TN
Practice address
2019 N Locust Ave
Lawrenceburg, TN 38464-2337
Phone
(931) 762-1800
Fax
(931) 762-9155
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APN0000007648 TN
Family Nurse Practitioner 363LF0000X APN0000007648 TN Primary

Addresses

Primary practice location

2019 N Locust Ave
Lawrenceburg, TN 38464-2337

Mailing address

1822 Creekstone Dr
Columbia, TN 38401-6716
Phone (931) 490-0552

Other practice location 1

129 N Locust Ave Ste A
Lawrenceburg, TN 38464-3757
Phone (931) 242-4385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041222000352 TN Practitioner - Nurse Practitioner 7719945732 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1102 E College St
Pulaski, TN 38478-4519
Phone (931) 371-9500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN0000007648TNMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 25, 2013 Accepting new patients
Mashburn Family Health, PLLC Family CurrentSince Dec 1, 2021 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 25, 2013 Accepting new patients
Amg-Crockett, LLC CurrentSince Jun 28, 2019 Accepting new patients
Amg-Crockett, LLC CurrentSince Jun 28, 2019 Accepting new patients
Rapidcare LLC PastSince Sep 19, 2012 Accepting new patients
Maury Emergency Physicians PLLC Past Accepting new patients
Southeastern Emergency Services P C Past Accepting new patients

Locations

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

150 N Highway 27
Somerset, KY 42503
Phone (606) 485-1021

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

543 E Main St
Hohenwald, TN 38462
Phone (931) 295-3547

129 N Locust Ave
#A
Lawrenceburg, TN 38464
Phone (931) 242-4385

2019 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 762-1800

722 N Military St
Loretto, TN 38469
Phone (931) 853-4622

1102 E College St
Pulaski, TN 38478
Phone (931) 300-0534

1275 E College St
Ste 2
Pulaski, TN 38478
Phone (931) 363-3514

Interoperability endpoints

  • Direct secure messaging: steven.mashburn.1@24818.direct.athenahealth.com
  • Direct secure messaging: emy6356@yourcarecommunity.org
  • FHIR API: https://api.platform.athenahealth.com/24818/brand/1/csg/1/fhir/r4

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1942373717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 CREEKSTONE DR",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384016716",
            "telephone_number": "931-490-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 N LOCUST AVE",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384642337",
            "telephone_number": "931-762-1800",
            "fax_number": "931-762-9155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "129 N Locust Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Lawrenceburg",
            "state": "TN",
            "postal_code": "384643757",
            "country_code": "US",
            "telephone_number": "931-242-4385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASHBURN",
        "first_name": "STEVEN",
        "middle_name": "N",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "APN0000007648",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000007648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, TN

Sources for this page

Verify at the official NPI Registry.